| NPI | 1104227602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BEAVER Respiratory Therapist 1304-733-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |